Code, Patrick Theodore

Code, Patrick Theodore is an sole proprietor health care provider with primary practice located at 2655 Siskiyou Blvd , Medford OR 97504-8125. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Code, Patrick Theodore can be contacted via phone (541) 773-3338.

Contact Information

Primary practice address
2655 Siskiyou Blvd Medford OR 97504-8125
Phone: (541) 773-3338
Fax: (541) 772-9526
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X DP002200 Oregon
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X DP002200 Oregon
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X DP002200 Oregon

Profile Details

NPI number 1902951486
LBN Legal business name Code, Patrick Theodore
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902951486 NPPES
Oregon MEDICAID 034947

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